Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2004
NPI: 1295992857
Practice Locations (2)
AULTMAN DEUBLE HEART AND VASCULAR HOSPITAL, LLC
2600 6TH ST SW
CANTON, OH 447101702
3304548076
OHIO HOSPITAL-BASED PHYSICIANS CORPORATION
2600 6TH ST SW
CANTON, OH 447101702
3304386352
Source: CMS National Downloadable File, September 2026.